Healthcare Provider Details

I. General information

NPI: 1285820324
Provider Name (Legal Business Name): ELIZABETH MARY WESTBROOK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 COVENTRY DR
PHILLIPSBURG NJ
08865-1969
US

IV. Provider business mailing address

1800 N DELAWARE DR
EASTON PA
18040-7319
US

V. Phone/Fax

Practice location:
  • Phone: 908-454-3000
  • Fax:
Mailing address:
  • Phone: 610-923-8275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number26NN06489700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: